Beverage Choice and Lifestyle Modification in Overweight Youth

Not Applicable

Completed

Interventions: Behavioral: Beverage Choice and Lifestyle Modification
Other: Nutrition Education (NE)

Brief Summary: The rise in childhood overweightness and concomitant increase in chronic disease risk warrants exploration into the effectiveness of interventions targeting the eating and activity habits of overweight youth. This research study developed and tested a "Beverage Choice and Lifestyle Modification" (BCLM) intervention for 4 to 8 year old children who are at-risk for being overweight or are overweight and who consume large amounts of sugar sweetened beverages and juice. The overall study objectives were to test the acceptability and effectiveness of the BCLM intervention for improving the weight status, energy (kcal) intake, beverage selections and beverage preferences of children in targeted age and BMI group. The investigators hypothesized that those children randomized to the BCLM group will show greater improvements in weight and Body Mass Index (BMI) status, beverage choices,and energy intake than those assigned to our Nutrition Education (NE) group.

Recruitment & Eligibility

Inclusion Criteria

Exclusion Criteria

Child has a serious medical condition
Signs of elevated psychopathology are present, as assessed by the Child Behavior Checklist (CBCL)
Parent demonstrates elevated psychiatric problems or eating disorders
Failure of parent or child to meet BMI criteria

Arm && Interventions

Group	Intervention	Description
Beverage Choice Lifestyle Modification	Beverage Choice and Lifestyle Modification	The family-based BCLM intervention trained children and parents in self monitoring of sugar sweetened beverage intake and goal-setting, incorporated feedback and reinforcement, and provided water bottles and water filters to promote a reduction in sugar sweetened beverages and overall energy intake.
Nutrition Education (NE)	Nutrition Education (NE)	This treatment for parents and children addressed a variety of topics in nutrition including benefits of fruits and vegetables, the food pyramid, vitamins, benefits of eating a variety of foods, and healthy beverage selections. No behavioral change training component was included.

Primary Outcome Measures

Name	Time	Method
Body Mass Index (BMI)	Baseline and Month 6	Change in BMI will be measured from baseline to end of treatment (month 6).
Body Mass Index z-score (BMI-z)	Baseline and month 6	Change in BMI-z will be measured from baseline to end of treatment (month 6).
Body Mass Index Percentile (BMI%)	Baseline and Month 6	Change in BMI% will be measured from baseline to end of treatment (month 6).
Child percent overweight	Baseline and Month 6	Change in child percent overweight will be measured from baseline to end of treatment (month 6).
Waist Circumference	Baseline to Month 6	Change in waist circumference will be measured from baseline to end of treatment (month 6).
Energy (kcal) intake	Baseline to Month 6	Change in energy intake (kcals/day) will be measured from baseline to end of treatment (month 6) using 3-day food diaries.
Sugar-sweetened beverage intake	Baseline to Month 6	Change in sugar-sweetened beverage intake will be measured from baseline to end of treatment (month 6).
Treatment acceptance and satisfaction	Month 6	Overall treatment acceptance and satisfaction will be measured at end of treatment.

Secondary Outcome Measures

Name	Time	Method
Child preferences and motivation for sugar-sweetened beverages	Baseline and Month 6	Change in child preference and motivation for sugar-sweetened beverages will be measured from baseline to month 6 using a computerized behavioral choice task assessment.

Locations (1): University of Pennsylvania Center for Weight and Eating Disorders
🇺🇸
Philadelphia, Pennsylvania, United States